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Condition: Diabetes
Procedure: Dialysis

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Total 440 results found since Jan 2013.

Safety of warfarin therapy in chronic hemodialysis patients: a prospective cohort study
Conclusion The results of this study suggested that warfarin use by HD patients might not be harmful in chronic state, while the safety for the initiation of warfarin therapy in HD patients remained to be determined.
Source: Clinical and Experimental Nephrology - December 1, 2015 Category: Urology & Nephrology Source Type: research

Effectiveness of family involvement in newly diagnosed type 2 diabetes patients: a follow-up study
In recent years, the global prevalence of diabetes has increased significantly. The number of Chinese patients with type 2 diabetes mellitus (T2DM) ranks first in the world. Diabetes ranks in the third place among chronic non-communicable diseases according to the morbidity, disability and mortality as well as the degree of harm to human health, and it has brought a heavy burden on healthcare [1–3]. The family is an important place for people to influence lifestyle intervention of family members to participate may improve health and reduce disease relapse rate, increase well-being of the family, help improve diabetes, hy...
Source: Patient Education and Counseling - December 30, 2015 Category: Global & Universal Authors: Mai Shi, Mei-Yan Xu, Zhao-Lan Liu, Xue-Ying Duan, Yan-Bo Zhu, Hui-Mei Shi, Bo Jiang, Xiao-Mei Zhang, Xiao-Han Yu Source Type: research

Beat Depression to Stay Healthier & Live Longer: A Guide for Older Adults & Their Families
Many people find the reality of getting older depressing. And depression itself often comes with a stigma. So when we talk about depression and aging combined, what results is a very complicated — and often hard to treat — issue. Gary S. Moak, former president of the American Association for Geriatric Psychiatry, has written a new book to help. Beat Depression to Stay Healthier and Live Longer: A Guide for Older Adults and Their Families combines Moak’s years of experience working with elderly populations with the latest research on depression. Moak begins by defining depression and clarifying many of the myths...
Source: Psych Central - January 28, 2016 Category: Psychiatry Authors: Claire Nana Tags: Aging Antidepressants Book Reviews Depression Family General Psychology Self-Help Seniors Treatment antidepressants for elderly patients antidepressants for old people beat depression depression and aging depression geriatric Source Type: news

Long-term effects following 4 years of randomized treatment with atorvastatin in patients with type 2 diabetes mellitus on hemodialysis
The 4D (Die Deutsche Diabetes Dialyse) Study was a randomized, double-blind trial comparing 4 years of treatment with atorvastatin to placebo in 1255 hemodialysis patients with type 2 diabetes. The primary end point of cardiovascular events (cardiac death, myocardial infarction, and stroke) was non-significantly reduced by 8%. However, long-term effects remained uncertain. Therefore, surviving patients were invited to a follow-up survey done by questionnaire. Post-trial statin therapy was at nephrologist discretion, and outcomes were centrally adjudicated and analyzed by intention to treat and time to first event in the or...
Source: Kidney International - February 17, 2016 Category: Urology & Nephrology Authors: Vera Krane, Kay-Renke Schmidt, Lena J. Gutjahr-Lengsfeld, Johannes F.E. Mann, Winfried März, Florian Swoboda, Christoph Wanner, 4D Study Investigators (the German Diabetes and Dialysis Study Investigators) Tags: Clinical Trial Source Type: research

Effects of blood pressure on renal and cardiovascular outcomes in Asian patients with type 2 diabetes and overt nephropathy: a post hoc analysis (ORIENT-blood pressure)
Conclusion In Asian type 2 diabetic patients with chronic kidney disease and heavy proteinuria, reduction of SBP ≤ 130 mmHg was associated with greater renoprotection than cardioprotection. However, our results emphasize the need to individualize BP targets in type 2 diabetes.
Source: Nephrology Dialysis Transplantation - February 22, 2016 Category: Urology & Nephrology Authors: Imai, E., Ito, S., Haneda, M., Harada, A., Kobayashi, F., Yamasaki, T., Makino, H., Chan, J. C. N. Tags: Chronic Kidney Disease Source Type: research

Impact of Perioperative Complications After Endovascular Therapy in Diabetic Patients With Critical Limb Ischemia due to Isolated Infrapopliteal Lesions
Conclusion: POCs within 30 days after balloon angioplasty for infrapopliteal disease in diabetics with CLI were more likely to occur in patients with low BMI and tissue loss. POC occurrence was associated with major adverse limb events in follow-up but not with mortality or wound healing.
Source: Journal of Endovascular Therapy - March 16, 2016 Category: Surgery Authors: Okamoto, S., Iida, O., Takahara, M., Yamauchi, Y., Hirano, K., Soga, Y., Suzuki, K., Uematsu, M. Tags: Lower Limb Interventions Source Type: research

Medtronic Freestyle aortic bioprosthesis: a potential option for haemodialysis patients
CONCLUSIONS Aortic bioprostheses are a good option for haemodialysis patients requiring AVR, offering acceptable mid-term survival. The Medtronic Freestyle aortic bioprostheses could allow the implantation of larger bioprostheses inferring consequently lower mean gradients, with a potentially higher resistance to calcification and sclerosis in haemodialysis patients.
Source: Interactive CardioVascular and Thoracic Surgery - March 21, 2016 Category: Cardiovascular & Thoracic Surgery Authors: Hegazy, Y. Y., Rayan, A., Sodian, R., Hassanein, W., Ennker, J. Tags: Basic research vascular ADULT CARDIAC Source Type: research

APOL1 nephropathy risk variants are associated with altered high-density lipoprotein profiles in African Americans
Conclusions Greater numbers of APOL1 G1/G2 risk alleles were associated with higher small HDL particle concentrations in African Americans. These results may suggest novel areas of investigation to uncover reasons for the association between APOL1 risk variants with adverse outcomes in African Americans.
Source: Nephrology Dialysis Transplantation - March 22, 2016 Category: Urology & Nephrology Authors: Gutierrez, O. M., Judd, S. E., Irvin, M. R., Zhi, D., Limdi, N., Palmer, N. D., Rich, S. S., Sale, M. M., Freedman, B. I. Tags: Chronic Kidney Disease Source Type: research

Obesity or obesities? Controversies on the association between body mass index and premature mortality.
Abstract Obesity is still defined on the basis of body mass index (BMI) and BMI in itself is generally accepted as a strong predictor of overall early mortality. However, an inverse association between BMI and mortality has been reported in patients with many disease states and in several clinical settings: hemodialysis, cardiovascular diseases, hypertension, stroke, diabetes, chronic obstructive pulmonary disease, surgery, etc. This unexpected phenomenon is usually called obesity-survival paradox (OP). The contiguous concepts of metabolically healthy obesity (MHO, a phenotype having BMI ≥ 30 but not having an...
Source: Eating and weight disorders : EWD - April 3, 2016 Category: Eating Disorders and Weight Management Authors: Bosello O, Donataccio MP, Cuzzolaro M Tags: Eat Weight Disord Source Type: research

Resection of Intraabdominal Tumors With Cavoatrial Extension Using Deep Hypothermic Circulatory Arrest
Conclusions Intraabdominal malignancies with cavoatrial extension can be safely resected. Excellent local tumor control can be anticipated. Long-term surveillance is necessary to detect recurrence.
Source: The Annals of Thoracic Surgery - May 9, 2016 Category: Cardiovascular & Thoracic Surgery Source Type: research

Sex and gender differences in risk, pathophysiology and complications of type 2 diabetes mellitus.
Authors: Kautzky-Willer A, Harreiter J, Pacini G Abstract T2DM is more frequently diagnosed at lower age and body-mass-index in men, however the most prominent risk factor, which is obesity, is more common in women. Generally, large sex-ratio differences across countries are observed. Diversities in biology, culture, lifestyle, environment and socioeconomic status impact differences between males and females in predisposition, development and clinical presentation. Genetic effects and epigenetic mechanisms, nutritional factors and sedentary lifestyle affect risk and complications differently in both sexes. Furtherm...
Source: Endocrine Reviews - May 11, 2016 Category: Endocrinology Tags: Endocr Rev Source Type: research

In this Issue
The 4D Study was a randomized trial comparing 4 years of treatment with atorvastatin to placebo in 1255 hemodialysis patients with type 2 diabetes. In the original trial, atorvastatin did not significantly reduce the primary end point of cardiovascular events, including cardiac death, myocardial infarction, and stroke. To determine the long-term effects of atorvastatin in these patients, Krane and co-workers used questionnaires to assess clinical outcomes in surviving 4D participants. After median follow-up of 11.5 years, participants who had been assigned to atorvastatin had a nonsignificant trend toward fewer cardiovascu...
Source: Kidney International - May 13, 2016 Category: Urology & Nephrology Tags: In this Issue Source Type: research

Resection of Intraabdominal Tumors With Cavoatrial Extension Using Deep Hypothermic Circulatory Arrest.
CONCLUSIONS: Intraabdominal malignancies with cavoatrial extension can be safely resected. Excellent local tumor control can be anticipated. Long-term surveillance is necessary to detect recurrence. PMID: 27173070 [PubMed - as supplied by publisher]
Source: The Annals of Thoracic Surgery - May 8, 2016 Category: Cardiovascular & Thoracic Surgery Authors: Lau C, O'Malley P, Gaudino M, Scherr DS, Girardi LN Tags: Ann Thorac Surg Source Type: research

Discharge Destination after Elective Femoropopliteal Bypass in Patients without Critical Ischemia.
This study examined the disposition at initial discharge of such patients. Data from the 2012 National Surgical Quality Improvement Program registry was queried for all elective FPB performed in patients without CLI. Analysis was limited to patients surviving to initial discharge who were living independently at home before surgery. Initial disposition was defined as to HOME or to a FACILITY (either rehabilitation or skilled nursing); these constituting the study groups. Univariate analysis and multivariable logistic regression were performed to identify patient risk factors for failure to discharge to home. In-hospital an...
Source: The American Surgeon - April 30, 2016 Category: Surgery Authors: Kauvar DS, Osborne CL Tags: Am Surg Source Type: research

Health status of populations living in French overseas territories in 2012, compared with metropolitan France: An analysis of the national health insurance database.
CONCLUSION: This study highlights the utility of administrative database to compare and follow population health status considering healthcare use. Specific Public Health policies are justified for FOT, taking into account the specific context of each FOT, the necessity of prevention initiatives and screening to reduce the frequency of the chronic diseases. PMID: 27238162 [PubMed - as supplied by publisher]
Source: Revue d Epidemiologie et de Sante Publique - May 31, 2016 Category: Epidemiology Tags: Rev Epidemiol Sante Publique Source Type: research